Director, Actuarial Science (Medicaid Rate Advocacy, Month End Close, Forecasting)

Overview

The Director, Actuarial Science is responsible for guiding strategic direction, driving innovation, and producing key insights that support organizational performance.

Responsibilities

• Lead Medicaid forecasting, month-end close activities, and performance monitoring and explanations, including:
  • Developing key processes and assumptions
  • Managing accruals
  • Evaluating financial experience and trend drivers, including comparisons to budget and reforecast
  • Developing activities to improve efficiency and affordability
• Execute strategy and guide teams in developing multiple internal statistical models to support business goals, including:
  • Financial projections
  • Contract modeling
  • Ad hoc support projects
• Proactively identify and influence senior management on actuarial concepts and business drivers to support interactions with federal and state regulators
• Lead new business projects for the business development team at the senior management level, as requested
• Identify and lead opportunities across multiple functions where the actuarial team can drive completion of corporate goals
• Lead a team of actuaries, ensuring compliance with applicable Actuarial Standards of Practice and supporting training and personal development; provide mentorship to other teams as needed
• Stay current on industry developments and explain business impacts, including federal and state regulations and sub-regulatory guidance
• Develop tactical plans and goals for the functional area; accountable for problem-solving and decisions that impact the functional area
• Understand and explain financial drivers for owned product/market, including IBNR and other accruals
• Leverage actuarial expertise to support the design, development, and implementation of AI-enabled solutions for the actuarial department, partnering with internal stakeholders to transition AI use from exploration and learning to scalable, effective solutions that support:
  • Pricing
  • Forecasting
  • Financial analysis
  • Regulatory support
  • Other actuarial functions
• Stay current on emerging AI capabilities, evaluating applicability to actuarial work and guiding responsible implementation to improve efficiency, insight generation, and business decision support
• Perform other job-related duties as requested

Education and Experience

• Bachelor’s degree in actuarial science, mathematics, economics or a related field required
• Eight (8) years of decision support, financial analysis, or actuarial experience preferred
• Three (3) years of management experience preferred
• Strong database experience with SAS or Access preferred
• Managed Care or healthcare experience preferred

Required Licensure and Certification

• Associate of the Society of Actuaries (ASA) required
• Fellow of the Society of Actuaries (FSA) preferred

Skills and Qualifications

• Excellent written and verbal communication skills
• Excellent listening and critical thinking skills
• Strong interpersonal skills and high level of professionalism
• Ability to manage, develop, and motivate staff
• Ability to interact with all levels of management as well as external stakeholders
• Excellent problem-solving skills and attention to detail
• Ability to effectively report data, analyze facts, and exercise sound business judgment when making recommendations
• Ability to identify and analyze problems, draw conclusions, develop and lead processes, and communicate status and results
• Ability to lead audits of data and models
• Demonstrate sound business judgment when drawing conclusions and making decisions
• Expert proficiency with Microsoft Suite, including Excel, Word, and PowerPoint
• Advanced knowledge of SQL, SAS, R, or other data manipulation software is preferred

Compensation & Benefits

• Compensation Range: $135,600.00 - $237,400.00 (salary)
• Base compensation with potential bonus tied to company and individual performance
• Substantial and comprehensive total rewards package (details not specified)

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time
• Up to 15% (Occasional) travel based on the needs of the department may be required

Location

• Not specified

Additional Information

• This job description is not all inclusive; the employer reserves the right to amend the job description at any time.